Nicole B Kowalczyk, LCPC is a
Counselor - Professional based in Utica, Illinois. Nicole B Kowalczyk is licensed to practice in Illinois (license number 180.012824) and her current practice location is
33 Oak Bluff Ter, Utica, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 780-0769.
NPI number for Nicole B Kowalczyk is 1205532108 and her current mailing address is 33 Oak Bluff Ter, Utica, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205532108.
Healthcare Provider's Profile
| Full Name | Nicole B Kowalczyk |
|---|
| Gender | Female |
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| Speciality | Counselor - Professional |
|---|
| Location | 33 Oak Bluff Ter, Utica, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205532108
- Provider Enumeration Date: 02/01/2023
- Last Update Date: 02/01/2023
Medical Identifiers
Medical identifiers for Nicole B Kowalczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205532108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 180.012824 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole B Kowalczyk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole B Kowalczyk, LCPC
33 Oak Bluff Ter,
Utica, IL 61373-9509
Ph: () - | Nicole B Kowalczyk, LCPC
33 Oak Bluff Ter,
Utica, IL 61373-9509
Ph: (815) 780-0769 |
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